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Supplemental Figures 1-4
Supplemental Figure 1. After disinfection with povidone-iodine solution, digital anesthesia was administered with lidocaine hydrochloride 20 mg/mL and epinephrine hydrochloride 0.0125 mg/mL; Supplemental Figure 2. After removing the nail and the matrix with straight hemostatic forceps (Klemmer or Kelly), we ensured that all matrix over the distal phalanx was cleaned up by using a curette; Supplemental Figure 3. We massaged the matrix vigorously with a cotton-tipped swab dipped in an aqueous solution of phenol 88%, with a rotation directed toward the lateral fold; Supplemental Figure 4a. Ingrown toenail, pretreatment appearance; Supplemental Figure 4b. One month after surgery.
Files in this Data Supplement:
- Supplemental data: Figures - PDF file, 5 pages, 10.8 MB
The Article in Brief
Nezih Karaca , and colleagues
Background Ingrown toenails are a common problem that may recur after treatment. This study evaluates the efficacy of proximolateral chemical matricectomy with phenol ablations for the treatment of ingrown toenails and prevention of recurrences.
What This Study Found In a series of 348 proximolateral partial matricetomies and phenol ablations in 225 patients with stage 2 or 3 ingrown toenail, there was only one recurrence during the 24-month follow-up period, no severe complications, and excellent cosmetic results.
Implications
- The authors assert that this surgical technique, which is more invasive than simple partial nail avulsion and easier to perform than wide wedge excision, is the most important determinant of the study's success rate.
